Organization
DANIELS FAMILY COMMUNITY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHYANNE MCCUTCHEN NP (DIRECTOR/ NP)
(443) 985-6615
Entity
Organization
Contact information
Practice address
3716 HILLSDALE RD, BALTIMORE, MD 21207-7639
(443) 985-6615
Mailing address
9005 MARCELLA AVE, RANDALLSTOWN, MD 21133-3911
(443) 985-6615
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
10/21/2024
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